HomeMy WebLinkAboutXR2022-2123 - Permits£wPORT City of Newport Beach
O
Community Development Department- Building Division
F � 100 Civic Center Drive, Newport Beach, CA 92660
u > 2 Permit Counter Phone: (949) 644-3288
":. Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
II III I I I II I II I III II II III II COMB Permit : XR2022-2123
Plan Check No:
Issued Date : 0810812022
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address:
1832 NEWPORT HILLS DR E
Description:
SFR DEMO SPA "METHOD A"
Owner:
MAULDIN DONALD GENE TR
Address:
1832 NEWPORT HILLS DR E NEWPORT
BEACH, CA 92660
Phone :
Applicant: FRISCH & SONS CONSTRUCTION INC
Address: 254 N ORANGEHILL LN ORANGE, CA 92887
Phone : (714) 282-0843
Owner/Builder :
Address
Phone :
Legal Desc : N TR 7031 BLK LOT 67
Contractor:
FRISCH & SONS CONSTRUCTION INC
Architect
Address ;
254 N ORANGEHILL LN ORANGE, CA
Address
92887
Phone:
(714)282-0843
Phone:
Con State Lic
: 696810
State Lic
Lic Expire :
06/30/2023
Bus Lic:
BT30074343
Engineer:
Bus Lic Expire : 02/28/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: STATE COMP
Policy No:
9040338
Designer:
W. C. Expire:
1/1/2023
Address
Phone:
11e14
Code Edition : 2019
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
Fire Hazard Zone :
No
Added/New/TI sq. ft. Bldg
Occupancy Groups : U
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
0
Added/New sq. ft. Garage
Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10
Flood Zone: X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
$2,500.00
0
M
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors! State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensers, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ f as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property; provided that the
improvements are not intended or offered for sale. if, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built. or
Improved for the purpose of sale).
0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Coda: The Contractors' State License Law dues not
?[r,Aly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt here licensure under the Contractors' $lbr a License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I.cannot legalb
sell a structure that I have built as an owner builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code is available upon request when this application is submitted or at the fotowmg Web site.http:ffwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent � Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 icommerroing with Section 0. )OF 1 3 ¢f the Business and Pr stuns C tCense full force
and effect. License Class License. No Date V Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.7ECT AN EMPLOYER TO CR[MINAL PENALTIES AND CIVIC PINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100 000). IN ADDITION TO THE
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST. Me ATTORNEY'S FEES.
^hfereby affirm under penalty of perjury one of the following declarations:
,.,,! I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
>e;formance of the work for which this permit is issued.. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is Issued. My workers'
ranee carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the Al e f or vorfCch this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation taws of California. and agra.
let if I should become s bject to t ompensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. `�
Sgnatur8 of A{rpllsart _ Dar /d Z
IECI.ARAT74N REG ONSTRUCTtON LENDING AGENCY —"-"________......_......__.-._.._._...-_ _
hereby affirm under all} f perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ I Code):
Ruder's Name Lender's Address
'y my signature below, I certify to each of the following:
I am the property owner or authorized to acton the property owner's behalf.
I have read t I application and the information I IT provide IT L
I agree to co p:/ with all applicable city and county ordln a nd state laws relating to building construction.
I c:r'horize repro s:ntatives of this cityor ccu en lib reperty for inspection purposes.
AC(ION DATE B ECLARATCTN OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RU LE
_ 1 1403
PERMIT EXP7NkD—I ElpsuBMITTED A5BESTOS NOTIFICATION TO
PERMIT CANCEELCD� I OPPA
PE,tMU FINAL /a/Zt I DL -F'Ot� I UA58ESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERARCATE OF PROPOSED DEMOLITION
OCCUP,'NCY FSSUW __....-..T_ RT ..._._..SIGNATURE:____..
FOR OFFICE USE ONLY
All required alarms, latches gates and fences Which serve as part of a pool/spa barrier,. shall
be in place prior to approval to fill pool/spa& shall remain in place & be maintained for the
life of the pool.